Individual
KAREN S. RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP LCSW
Contact information
Practice address
515 N D ST, FREMONT, NE 68025-5051
(402) 459-1977
(402) 459-1977
Mailing address
515 N D ST, FREMONT, NE 68025-5051
(402) 459-1977
(402) 512-9050
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10640
NE
1041C0700X
Clinical Social Worker
Primary
1904
NE
Other
Enumeration date
09/19/2015
Last updated
04/13/2020
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